# CPT 92201: Extended ophthalmoscopy, retinal drawing

Medicare CPT 92201 pays $25.05 in a non-facility setting and $18.37 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $23.13 in Arkansas to $32.00 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/92201-cpt-fee-schedule
Section: Vision and Hearing Services
Billed by: Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $25.05 |
| National facility | $18.37 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $32.00 | $24.89 |
| District of Columbia | $27.85 | $19.98 |
| California | $27.29 | $19.39 |
| New York | $27.22 | $19.77 |
| New Jersey | $27.21 | $19.69 |
| Washington | $26.91 | $19.30 |
| Massachusetts | $26.72 | $19.22 |
| Connecticut | $26.33 | $19.13 |
| Hawaii | $26.33 | $18.73 |
| Colorado | $25.79 | $18.68 |
| Maryland | $25.76 | $18.79 |
| Florida | $25.72 | $19.02 |
| Rhode Island | $25.60 | $18.70 |
| Oregon | $25.58 | $18.54 |
| New Hampshire | $25.43 | $18.48 |
| Illinois | $25.32 | $18.87 |
| Puerto Rico | $25.17 | $18.41 |
| Virgin Islands | $25.17 | $18.41 |
| Montana | $25.05 | $18.37 |
| Pennsylvania | $24.98 | $18.44 |
| Nevada | $24.95 | $18.26 |
| Delaware | $24.91 | $18.31 |
| Minnesota | $24.91 | $18.04 |
| Texas | $24.90 | $18.32 |
| Wyoming | $24.88 | $18.20 |
| Georgia | $24.68 | $18.31 |
| Virginia | $24.66 | $18.09 |
| North Dakota | $24.65 | $17.97 |
| Michigan | $24.63 | $18.36 |
| South Dakota | $24.61 | $17.93 |
| Vermont | $24.61 | $17.99 |
| Arizona | $24.60 | $18.13 |
| Maine | $24.30 | $17.91 |
| Utah | $24.30 | $18.02 |
| New Mexico | $24.24 | $18.12 |
| Missouri | $24.11 | $17.98 |
| Wisconsin | $24.11 | $17.71 |
| Louisiana | $24.10 | $18.00 |
| South Carolina | $24.09 | $17.91 |
| Ohio | $24.07 | $17.97 |
| North Carolina | $24.05 | $17.82 |
| Indiana | $23.88 | $17.69 |
| West Virginia | $23.85 | $18.05 |
| Idaho | $23.79 | $17.64 |
| Nebraska | $23.76 | $17.59 |
| Kentucky | $23.73 | $17.79 |
| Tennessee | $23.71 | $17.64 |
| Oklahoma | $23.69 | $17.72 |
| Iowa | $23.68 | $17.57 |
| Kansas | $23.63 | $17.59 |
| Alabama | $23.34 | $17.50 |
| Mississippi | $23.30 | $17.55 |
| Arkansas | $23.13 | $17.39 |

## Related codes

- 92060: Sensorimotor examination with multiple measurements of ocular deviation — https://www.med-reveal.com/rates/92060-cpt-fee-schedule
- 92065: Orthoptic/pleoptic training — https://www.med-reveal.com/rates/92065-cpt-fee-schedule
- 92081: Visual field examination, unilateral or bilateral, limited — https://www.med-reveal.com/rates/92081-cpt-fee-schedule
- 92082: Visual field examination, intermediate — https://www.med-reveal.com/rates/92082-cpt-fee-schedule
- 92083: Visual field examination, extended — https://www.med-reveal.com/rates/92083-cpt-fee-schedule
- 92132: Computerized corneal topography — https://www.med-reveal.com/rates/92132-cpt-fee-schedule
- 92133: Computerized ophthalmic diagnostic imaging, optic nerve — https://www.med-reveal.com/rates/92133-cpt-fee-schedule
- 92134: Computerized ophthalmic diagnostic imaging, retina — https://www.med-reveal.com/rates/92134-cpt-fee-schedule

Commercial negotiated rates for 92201 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules